MARSHALL MEDICAL CENTER SOUTH (NPI# 1003136896) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003136896 |
| Entity Type | Organization |
| Organization Name | MARSHALL MEDICAL CENTER SOUTH |
| Other Organization Name | WILLIS SURGICAL |
| Practice Address |
133 Wall St Albertville AL 35951-9300 |
| Practice Telephone | 2568405547 |
| Mailing Telephone | 2568405547 |
| Enumeration Date | 2010-06-03 |
| Last Update Date | 2010-06-03 |
| Authorized Official Name | MRS. KATHY B. NELSON (CFO) |
| Authorized Official Telephone | 2568946600 |
| Authorized Official Credential | CPA |
| Is Organization Subpart | Y |
| Parent Organization Name | MARSHALL MEDICAL CENTER SOUTH |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Willis Surgical | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861663874 | Marshall Medical Center South | Nurse Anesthetist, Certified Registered | 2505 Us Hwy 431n, Boaz, AL 35957-0758 | 2008-03-18 |
| 1306914882 | Marshall Medical Center South | General Acute Care Hospital | 2505 Us Hwy 431 N, Boaz, AL 35957-0758 | 2006-12-01 |
| 1780776633 | Marshall Medical Center South | Otolaryngology | 704 Medical Center Parkway, Boaz, AL 35957 | 2006-09-29 |
| 1497269799 | Marshall Medical Center South | Nurse Anesthetist, Certified Registered | 2505 Us Highway 431, Boaz, AL 35957-5908 | 2017-11-22 |
| 1538511340 | Marshall Medical Center South | Internal Medicine | 11491 Us Highway 431, Albertville, AL 35950-0136 | 2016-07-05 |
| 1962824441 | Marshall Medical Center South | Orthopaedic Surgery | 38 Rowe Dr, Guntersville, AL 35976-7367 | 2014-01-17 |
| 1760765028 | Marshall Medical Center South | Emergency Medicine | 2505 Us Highway 431, Boaz, AL 35957 | 2011-09-23 |
| 1356657357 | Marshall Medical Center South | Radiology | 2505 Us Highway 431, Boaz, AL 35957 | 2010-08-27 |
| 1639321789 | Marshall Medical Center South | Obstetrics & Gynecology | 2525 Us Highway 431, 210, Boaz, AL 35957-5934 | 2008-10-21 |
| 1992967772 | Marshall Medical Center South | Family Medicine | 2505 Us Hwy 431 N, Boaz, AL 35957 | 2008-07-02 |
| Street Address |
133 WALL ST |
| City | ALBERTVILLE |
| State | AL |
| Zip Code | 35951-9300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952825523 | Sand Mountain Dentistry, LLC | Dentist | 416 Martling Road, Albertville, AL 35951 | 2017-07-26 |
| 1447707559 | Kayla Brooke Gilliland-alford | Nurse Practitioner | 95 Wall St Ste B, Albertville, AL 35951 | 2016-09-07 |
| 1144698853 | Fresenius Medical Care Albertville, LLC | Clinic/Center | 173 Business Park Drive, Albertville, AL 35951 | 2015-09-11 |
| 1902213390 | Isaac Health & Prevention Partners, LLC | Preventive Medicine | 115 Wall Street, Albertville, AL 35951 | 2014-07-17 |
| 1003196080 | Peak Healthcare LLC | Nurse Practitioner | 750 Al-75, Albertville, AL 35951 | 2011-08-23 |
| 1275694119 | Yhap Psychiatric Services, Inc | Psychiatry & Neurology | 9346 Hwy 431, Albertville, AL 35951 | 2006-12-13 |
| 1316012792 | John E Carr | Dentist | 101 Business Park Dr, Albertville, AL 35951 | 2006-11-21 |
| 1760425482 | Surgical Associates of Marshall County | Surgery | 133 Wall St., Albertville, AL 35951 | 2006-06-13 |
| 1174566996 | John Robert Groves | Surgery | 133 Wall St., Albertville, AL 35951 | 2006-06-13 |
| 1194727362 | Hospice of Marshall County, Inc. | Hospice Care, Community Based | 408 Martling Road, Albertville, AL 35951-0000 | 2005-06-01 |
| Find all providers in zip 35951 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164083218 | Northeast Alabama Vascular and Vein Specialist | Surgery | 11491 Us Highway 431, Albertville, AL 35950-0136 | 2019-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891296547 | West Alabama Physician Associates LLC | Surgery | 701 University Blvd E Ste 807, Tuscaloosa, AL 35401-7479 | 2018-02-27 |
| 1518473073 | Best Vein Care of Huntsville, LLC | Surgery | 2010 Southpoint Park Circle #170, Huntsville, AL 35801-5480 | 2017-12-20 |
| 1962896613 | Dr. J. Donald Carmichael Pa | Surgery | 2857 Canterbury Rd, Mountain Brk, AL 35223-1201 | 2015-03-19 |
| 1306155460 | Valley Vascular Consultants PC | Surgery | 201 Sivley Rd Sw Ste 530, Huntsville, AL 35801-5163 | 2010-10-06 |
| 1215255757 | East Alabama Surgical Associates LLC | Surgery | 2410 Village Professional Pkwy, Opelika, AL 36801 | 2010-05-07 |
| 1700048998 | Barry L. Fields | Surgery | 4700 Southlake Pkwy, Birmingham, AL 35244-3202 | 2008-06-28 |
| 1093992646 | William N Veale Jr. | Surgery | 1758 Park Pl Ste 300, Montgomery, AL 36106-1137 | 2008-01-25 |
| 1942401690 | L.s. Mcgee,jr., M.d.,p.a. | Surgery | 15 W Midtown Park, Suite C, Mobile, AL 36606-4139 | 2007-05-30 |
| 1699784538 | Charles Austin Hunt II | Surgery | 4721 Chace Cir, Hoover, AL 35244-3700 | 2006-08-07 |
| 1144254574 | Lawrence S Mcgee Jr. | Surgery | 15 Midtown Park Drive West, Suite C, Mobile, AL 36606-4139 | 2006-07-10 |
| Find all providers with the same taxonomy | ||||
| City | ALBERTVILLE |
| Zip Code | 35951 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.